Indications ■ Same as for open procedure
■ One of the most important indications is that the surgeon be adequately trained to perform the procedure
■ All manifestations of symptomatic gallstones - biliary colic, history of jaundice, chronic cholecystitis and acute cholecystitis
■ Gallstone pancreatitis
■ Acalculous cholecystitis
■ Large gallbladder polyps
Contraindications ■ There are no absolute contraindications to laparoscopic cholecystectomy
■ Relative contraindications include cirrhosis and portal hypertension, bleeding diathesis, pregnancy
■ Technical modifications can be made to suit these three problems
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For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.